(1 of 2)
Effective December 18, 2025 at 12:01am, Dr. Michael Killian must cease to practice medicine until such time as he has a Practice Monitor approved by the College, as specified by Section (i) of his Order with the College dated December 17, 2025.
(2 of 2)
As from December 18, 2025, by order of the Inquiries, Complaints and Reports Committee of the College of Physicians and Surgeons of Ontario, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Michael Robert Kilian:
Practice Monitor
i. Dr. Kilian shall not engage in any professional encounters, in person or otherwise (“Professional Encounter” or “Professional Encounters”) with patients of any age, unless the Professional Encounter takes place in the continuous presence and under the continuous observation of a monitor who is regulated health professional acceptable to the College (the “Practice Monitor” or “Practice Monitors”), and unless the other requirements provided in this Order are fulfilled. For further clarify, Dr. Kilian must not be alone with patients of any age, for any length of time, during any Professional Encounter, whether or not the parent or guardian of the patient is also present.
ii. Dr. Kilian shall remain free of any conflict of interest with the Practice Monitor.
iii. Dr. Kilian shall review the Practice Monitor’s undertaking, attached hereto as Appendix “B”.
iv. At all times, Dr. Kilian shall ensure that the Practice Monitor fulfils the obligations set out in the Practice Monitor’s undertaking, attached at Appendix “B”, including but not limited to:
a. providing reports (as described in the Practice Monitor’s undertaking) to the College on at least a monthly basis;
b. remaining present at all times during all Professional Encounters, in person or otherwise, with all patients;
c. carefully observing all of Dr. Kilian’ Professional Encounters with patients, including but not limited to physical and internal examinations, and ensuring the Practice Monitor’s view of all of Dr. Kilian’s Professional Encounters with patients, including physical and internal examinations, is unobstructed at all times;
d. refraining from performing any other functions, except those required in the Practice Monitor’s undertaking, while observing Dr. Kilian in all his Professional Encounters with patients;
e. maintaining a log of all Professional Encounters with patients in the form attached to this Order as Appendix “C” (the “Log”) and in the manner described in the Practice Monitor’s undertaking;
f. initialing all corresponding entries in the records of patients noted in the Log; and
g. submitting the original Log to the College on a monthly basis.
v. Dr. Kilian shall maintain an up-to-date copy of the Log by ensuring a copy is made at the end of each business day and shall make it available to the College upon request.
Notification of Practice Locations
vi. Dr. Kilian shall inform the College of each and every location at which he practices, delegates or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which he is affiliated, in any jurisdiction (collectively the “Practice Location(s)”), within five (5) days of this Order. Going forward, he shall inform the College of any and all new Practice Locations within five (5) days of commencing practice at that location.
Posting a Sign and Translation
vii. Dr. Kilian shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all of his Practice Locations, in a clearly visible and secure location, at all times whether or not he is physically present at the Practice Location, in the form set out in Appendix “D”. If providing care in a virtual setting, Dr. Kilian must display the sign to the patient at the outset of the Patient Encounter. If the Patient Encounter is by telephone, Dr. Kilian shall read the sign to the patient at the outset of the Patient Encounter. For further clarify, this shall state as follows: “Dr. Kilian must not have professional encounters, in person or otherwise, with patients, of any age, unless in the continuous presence and under the continuous observation of a Practice Monitor acceptable to the College of Physicians and Surgeons of Ontario. Dr. Kilian must not be alone during any professional encounter with any patient. Further information may be found on the College website at www.cpso.on.ca.”.
viii. Dr. Kilian shall post a certified translation(s) in any language(s) in which he provides services, of the sign described in (viii) above, in all waiting rooms, examination rooms and consulting rooms, in all of his Practice Locations, in a clearly visible and secure location, in the form attached hereto as Appendix “D”.
ix. Dr. Kilian shall provide the certified translation(s) described in (vii) above to the College within thirty (30) days of the date of this Order.
x. The College may accept any alternative arrangements with respect to signage in a hospital or other setting, in its sole discretion.
Notifying Patients
xi. Dr. Kilian shall ensure that each patient with whom he has a Professional Encounter is directly notified, prior to the Professional Encounter, of the details of the restriction described in (i) above.
xii. With respect to patients with whom he has appointments that are scheduled at least seven (7) days in advance, Dr. Kilian shall ensure that each patient is directly notified, within seven (7) days after the appointment is scheduled, of the details of the restriction described in (i) above.
Monitoring
xiii. Dr. Kilian shall consent to the College making appropriate enquiries of the Ontario Health Insurance Plan and/or any person or institution who may have relevant information in order for the College to monitor Dr. Kilian’ compliance with the terms of this Order and shall promptly sign such consents as may be necessary for the College to obtain information from these persons or institutions.
xiv. Dr. Kilian shall submit to, and not interfere with, unannounced inspections of his Practice Locations and to inspections of his patient charts by the College and to any other activity the College deems necessary in order to monitor Dr. Kilian’ compliance with the terms of this Order.
xv. Dr. Kilian shall consent to the College providing any and all information to the Practice Monitor that the College deems necessary or desirable in order to assist the Practice Monitor in fulfilling their Undertaking and in order to monitor Dr. Kilian’ compliance with the terms of this Order.
xvi. Dr. Kilian shall consent to all Practice Monitors disclosing to the College, and to one another, any information relevant to this Order, relevant to the Practice Monitor’s undertaking and/or relevant for the purposes of monitoring Dr. Kilian’s compliance with this Order.
xvii. Dr. Kilian shall consent to the College providing the Order to any Chief(s) of Staff, Medical Director(s), and/or a colleague with similar responsibilities, at any Practice Location where he practices or has privileges (“Chief(s) of Staff” or “Medical Directors”), and to provide said Chief(s) of Staff or Medical Directors with any information the College has that led to this Order and/or any information arising from the monitoring of his compliance with this Order.
xviii. Dr. Kilian shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of this Order.
Terms and conditions imposed on certificate by: Member